Organization Active NPI

Jam RX LLC

Doing business as Nottingham Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1437913654
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JAM RX LLC
Doing business as
Nottingham Pharmacy
Practice address
1914 Avenue M
Brooklyn, NY 11230-6361
Phone
(718) 375-2400
Fax
(718) 375-3805
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Wilschanski
Title
Owner/Member
Phone
(718) 375-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1914 Avenue M
Brooklyn, NY 11230-6361

Mailing address

1914 Avenue M
Brooklyn, NY 11230-6361
Phone (718) 375-2400

Other names 1

  • NOTTINGHAM PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240531000512 NY Part B Supplier - Pharmacy 1052753365 Practice locations: Brooklyn, NY
O20250110001119 NY DME Supplier - Pharmacy 1052753365 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Jam RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1437913654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306361",
            "telephone_number": "718-375-2400",
            "fax_number": "718-375-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306361",
            "telephone_number": "718-375-2400",
            "fax_number": "718-375-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "WILSCHANSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "718-375-2400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOTTINGHAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.